A nurse is teaching a client who has asthma about how to use a metered-dose inhaler with a spacer. Which of the following information should the nurse include in the teaching?
"Wait 30 seconds between puffs."
"The spacer should make a whistling sound as you inhale."
"Clean the spacer daily with cold water."
"Hold your breath for 10 seconds once you inhale."
The Correct Answer is D
D. After inhaling the medication, holding the breath for about 10 seconds allows the medication to settle in the lungs and be absorbed effectively into the bloodstream. This improves the medication's effectiveness in controlling asthma symptoms.
A Waiting 30 seconds between puffs is not a standard instruction; instead, it is generally advised to wait about one minute between puffs if multiple doses are needed.
B. The whistling sound may indicate that the client is inhaling too quickly or forcefully, which can prevent the medication from reaching the lungs effectively.
C. Cleaning the spacer is also crucial, but it is typically recommended to use warm soapy water rather than cold water, and it should be left to air dry.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. This is often the nurse's top priority in the PACU. Anesthesia can depress respiratory function, leading to hypoventilation or airway obstruction. The nurse assesses respiratory rate, effort, oxygen saturation, and auscultates breath sounds to ensure adequate ventilation. Addressing any respiratory compromise promptly is crucial to prevent hypoxia or respiratory arrest.
A Assessing the surgical site is important to monitor for bleeding, infection, or any other complications related to the procedure. However, immediately after surgery, other assessments take precedence over this unless there is a specific concern like excessive bleeding or signs of infection.
C. Monitoring the client's level of consciousness is vital to detect any signs of neurological complications or delayed emergence from anesthesia. The nurse assesses orientation, responsiveness, and neurological signs to ensure the client is awakening appropriately from anesthesia.
D. Assessing pain is important as clients may experience discomfort after surgery. Pain can also affect respiratory function and overall recovery. However, it is typically assessed after ensuring respiratory status and consciousness are stable, as uncontrolled pain can be managed once immediate physiological concerns are addressed.
Correct Answer is B
Explanation
B. Providing the client with a trapeze bar allows them to move and reposition in bed independently without compromising the traction on the affected leg.
A Checking pressure points every 2 hours is generally recommended for clients at risk of developing pressure ulcers, but it's not specific to skeletal traction care.
C. Removing the weights prematurely can lead to loss of traction and compromise the therapeutic benefit of the traction.
D. When a client has skeletal traction, they should avoid using the affected limb for any weight-bearing activities or for repositioning
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